Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.91 / $4,452.00 / $10,152.00	Facility		$1,057.91	$4,452.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.67 / $1,057.91 / $2,094.71	Professional		$845.67	$1,057.91	$2,094.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.40 / $872.42 / $1,997.16	Professional		$667.40	$872.42	$1,997.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,154.99 / $1,990.00 / $8,917.50	Facility		$1,154.99	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,154.99 / $1,154.99 / $1,154.99	Professional		$1,154.99	$1,154.99	$1,154.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.35 / $930.35 / $5,246.94	Facility		$930.35	$930.35	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.01 / $1,450.39 / $3,241.33	Professional		$708.01	$1,450.39	$3,241.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,380.78 / $2,400.00	Facility		$319.00	$1,380.78	$2,400.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $932.14 / $1,112.30 / $1,664.61	Professional		$932.14	$1,112.30	$1,664.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.65 / $987.71 / $1,494.08	Professional		$666.65	$987.71	$1,494.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $930.35 / $5,246.94	Facility		$555.00	$930.35	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $840.09 / $1,388.89 / $3,238.64	Professional		$840.09	$1,388.89	$3,238.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.25 / $996.24 / $2,559.71	Professional		$660.25	$996.24	$2,559.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,090.16 / $1,090.16 / $2,808.38	Facility		$1,090.16	$1,090.16	$2,808.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $707.14 / $1,090.16 / $1,729.39	Professional		$707.14	$1,090.16	$1,729.39